MOUNT SINAI MEDICAL CENTER (NPI# 1639278179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639278179 |
| Entity Type | Organization |
| Organization Name | MOUNT SINAI MEDICAL CENTER |
| Practice Address |
4300 Alton Rd Ascher Bldg, 2nd Floor, Mgd Care Contracting Miami Beach FL 33140-2800 |
| Practice Telephone | 3056743977 |
| Mailing Telephone | 3056743977 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2015-01-20 |
| Authorized Official Name | WAYNE CHUTKAN (VP-FINANCE) |
| Authorized Official Telephone | 3056742662 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750653911 | Mount Sinai Medical Center | General Acute Care Hospital | 1 Ballantine Lane, Great Neck, NY 11024 | 2012-02-03 |
| 1922319771 | Mount Sinai Medical Center | General Acute Care Hospital | 526b Seaview Ave, Staten Island, NY 10305-3402 | 2010-06-27 |
| 1386972008 | Mount Sinai Medical Center | General Acute Care Hospital | 5 East 95th St, 12th Floor, New York, NY 10029 | 2009-11-19 |
| 1194953828 | Mount Sinai Medical Center | General Acute Care Hospital | 14700 Ne 9th Ave, Miami, FL 33161-2316 | 2009-07-01 |
| 1508026030 | Mount Sinai Medical Center | General Acute Care Hospital | California At 15 Th Street, Department of Cardiology, Chicago, IL 60608 | 2008-06-09 |
| 1659545986 | Mount Sinai Medical Center | General Acute Care Hospital | 5030 N Ridgeway Ave Unit 2, Chicago, IL 60625-6022 | 2008-04-17 |
| 1558894253 | Mount Sinai Medical Center | Clinic/Center | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2017-04-10 |
| 1225469745 | Mount Sinai Medical Center | General Acute Care Hospital | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2013-12-09 |
| 1114271632 | Mount Sinai Medical Center | General Acute Care Hospital | 1500 S California, Mount Sinai Children's Hospital, Chicago, IL 60608 | 2012-11-06 |
| 1104199520 | Mount Sinai Medical Center | Clinic/Center | 1468 Madison Ave, 3rd Floor, New York, NY 10029-6508 | 2012-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. | 4300 Alton Rd, Miami Beach, FL 33140-2948 |
| Street Address |
4300 ALTON RD ASCHER BLDG, 2ND FLOOR, MGD CARE CONTRACTING |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33140-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606117 | Gerardo Minsal | Internal Medicine | 4300 Alton Rd, Miami Beach, FL 33140-2800 | 2005-06-01 |
| 1386259992 | Premalkumar M Patel | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-09-10 |
| 1821602269 | Riceldys Caridad Ramos Soto | Nurse Practitioner | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-09-02 |
| 1336751403 | Sara Afraz | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-08-20 |
| 1902417306 | Roshanak Azimi | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-08-11 |
| 1104437649 | Hisham Bahmad | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-08-10 |
| 1962012625 | Marissa Donatelle | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-08-06 |
| 1790303501 | Mohamad Elajami | Internal Medicine | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-07-08 |
| 1467070409 | Fabiana Vastola | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-07-07 |
| 1730705278 | Nicholas Stephen Robert Martin | Nurse Anesthetist, Certified Registered | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310660 | Melanee Beth Leventhal | Registered Nurse | 4101 Pine Tree Drive,unit1507, Miami Beach, FL 33140 | 2020-06-08 |
| 1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
| 1922587641 | Catherine A Prendiville | Social Worker | 975 Arthur Godfrey Rd, Suite 302, Miami Beach, FL 33140 | 2018-08-13 |
| 1346768991 | Eddy Montesino | Specialist/Technologist, Other | 4300 Alton Rd, Miami Beach, Miami, FL 33140 | 2017-09-05 |
| 1417477316 | Salud Pack Inc | Durable Medical Equipment & Medical Supplies | 5401 Collins Ave Suite Cu9, Miami Beach, FL 33140 | 2017-06-21 |
| 1205371580 | Sindy Ruiz | Behavior Technician | 5333 Collins Ave Apt.1102, Miami Beach, FL 33140 | 2016-12-22 |
| 1841655594 | Sofl Physicians Group LLC | Nutritionist | 4045 Sheridan Ave. #236, Miami Beach, FL 33140 | 2015-12-23 |
| 1174908982 | Merlyn Josende | Counselor | 5880 Collins Ave., #904, Miami Beach, FL 33140 | 2015-07-22 |
| 1720320955 | Nicholas Santiago Camps | Internal Medicine | 4302 Alton Rd Ste 670, Miami Beach, FL 33140 | 2013-03-26 |
| 1508102443 | Brenda Klepack | Counselor | 4701 N. Meridian, # 403522, Miamia Beach, FL 33140 | 2012-12-21 |
| Find all providers in zip 33140 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898756 | Neighbormd of Miami Beach LLC | Internal Medicine | 4302 Alton Rd Ste 320, Miami Beach, FL 33140-2818 | 2020-10-13 |
| 1467060640 | South Beach Md | Internal Medicine | 3765 Sheridan Ave, Miami Beach, FL 33140-3949 | 2020-07-14 |
| 1356809057 | Privamedis LLC | Internal Medicine | 4308 Alton Rd Ste 880, Miami Beach, FL 33140-4560 | 2019-03-12 |
| 1285153239 | Stella Kocovic Villacorta | Internal Medicine | 709 Alton Road, Suite 440, Miami Beach, FL 33139 | 2017-09-11 |
| 1457884868 | Noel Garcia Acosta | Internal Medicine | 100 Lincoln Rd Ste 1433, Miami Beach, FL 33139-2013 | 2017-04-04 |
| 1629529045 | Gabriel Nemzow | Internal Medicine | 4044 N Meridian Ave, Apt 3c, Miami Beach, FL 33140-3327 | 2016-10-20 |
| 1437605789 | Southern Health and Wellness, Inc | Internal Medicine | 4302alton Road, Suite 470, Miami Beach, FL 33140-4557 | 2016-08-28 |
| 1053656561 | Jeremy Scott Bleicher | Internal Medicine | 400 S Pointe Dr, Apt. 1808, Miami Beach, FL 33139-7301 | 2012-12-10 |
| 1780929877 | Frank M. Fuentes M.d. & Associates. P.a. Inc. | Internal Medicine | 114 2nd San Marino Ter, Miami Beach, FL 33139-1122 | 2012-11-30 |
| 1316293558 | Swiftcare Medical Inc | Internal Medicine | 1510 Bay Rd, # 601, Miami Beach, FL 33139-3307 | 2012-07-25 |
| Find all providers in MIAMI BEACH | ||||
| City | MIAMI BEACH |
| Zip Code | 33140 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.